Active NPI
Houston Physicians Medical Association P L L C
- Community/Retail Pharmacy
- Shenandoah, TX
National Provider Identifier
1679759518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 25837
- Legal business name
- HOUSTON PHYSICIANS MEDICAL ASSOCIATION P L L C
- Doing business as
- PATIENT DIRECT PHARMACY
- Practice address
- 920 Medical Plaza Dr
Ste 140
Shenandoah, TX 77380-3260 - Phone
- (281) 298-1129
- Fax
- (281) 298-1168
- NPI assigned
- Jan 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melody Molloy
- Title
- Coo
- Phone
- (281) 364-8887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 25837 | TX | Primary |
Addresses
Primary practice location
920 Medical Plaza Dr
Ste 140
Shenandoah, TX 77380-3260
Mailing address
920 Medical Plaza Dr
Ste 140
Shenandoah, TX 77380-3260
Phone (281) 298-1129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4547139 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- PATIENT DIRECT PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040810000051 | TX | Part B Supplier - Clinic/Group Practice | 3375515455 |
Receives reassigned benefits from 74 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kingwood, TX; New Caney, TX; Shenandoah, TX; The Woodlands, TX; Cypress, TX; Tomball, TX; Willis, TX; Atascocita, TX… |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Multi-Specialty Clinic/Center
- The Woodlands, TX
- NPI 1255397733
O20040810000051
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257379200000",
"number": "1679759518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 MEDICAL PLAZA DR",
"address_2": "STE 140",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803260",
"telephone_number": "281-298-1129",
"fax_number": "281-298-1168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MEDICAL PLAZA DR",
"address_2": "STE 140",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803260",
"telephone_number": "281-298-1129",
"fax_number": "281-298-1168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSTON PHYSICIANS MEDICAL ASSOCIATION P L L C",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-10",
"last_updated": "2009-11-05",
"status": "A",
"authorized_official_last_name": "MOLLOY",
"authorized_official_first_name": "MELODY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "281-364-8887"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "25837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4547139",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PATIENT DIRECT PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.